Individual
RYAN S D CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-3457
(614) 722-3454
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-3457
(614) 722-3454
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
35087750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2667430
—
OH
01
—
CA4185302
OHIO MEDICARE
OH
Enumeration date
06/07/2006
Last updated
07/09/2009
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